jam2007

jam2007

cardiac rehab, medical/tele, psychiatric

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All Content by jam2007

  1. nurse manager was rude to me

    jam2007 posted a topic in General Nursing

    I can't take it any more. I've posted previously about certain co-workers throwing me under the bus, but today my NM was particularly ******. The phone was ringing and because I didn't pick it up, she...

  2. Free water restriction

    jam2007 posted a topic in General Nursing

    Can anyone explain to me? I had a pt with hyponatremia (not sure which type), she had apparently been taking laxatives and drinking a ton of water..and we put on a free water restriction. I am not...

  3. when co-workers throw each other under the bus

    jam2007 posted a topic in General Nursing

    I have been at my first hospital job for 8 months and it has become apparent that nurses I work with run to the nurse manager "tattling" on eachother (either real or perceived wrong doings) rather...

  4. stressed..other nursing options??

    jam2007 replied to LovePurple's topic in First Year After Licensure

    I agree with your words of wisdom. In my case, I have been looking and sending out resumes without any luck. Unfortunately I only have one year experience in M/S and the job market, as we all know,...

  5. stressed..other nursing options??

    jam2007 replied to LovePurple's topic in First Year After Licensure

    It's comforting to know I am not alone with the feelings of anxiety and dread about making it through another shift..but it is also disheartening to know that so many of us who wanted to be nurses are...

  6. Best way to prepare for 5 pts at start of 12h day?

    jam2007 replied to rtbabb's topic in General Nursing

    I have the same question..but the monkey wrench is making it to rounds at 10AM with the expectation that all meds are passed and assessments are done. HA HA! Any other suggestions to address that. (I...

  7. BP meds and parameters

    jam2007 posted a topic in Cardiac

    I usually see beta blockers with parameters...I know BB lowers BP and you don't want to bottom pt out, but there are other meds that can do the same (i.e. lasix) and it's nursing judgement. Are there...

  8. nurse manager was rude to me

    jam2007 replied to jam2007's topic in General Nursing

    Thanks all for your humor! Definitely had to vent...don't want to have things build up and say something I'd regret at

  9. clamping NGT

    jam2007 replied to jam2007's topic in First Year After Licensure

    Yeah, it stinks...I do have co-workers I trust, but they aren't always on. I am looking for something else, but most places have hiring freezes. Thank goodness for

  10. clamping NGT

    jam2007 posted a topic in First Year After Licensure

    One of the patients has an NGT and I overheard it needed to be clamped..didn't want to ask and I searched my fundamentals book to no avail. Anyone have a

  11. clamping NGT

    jam2007 replied to jam2007's topic in First Year After Licensure

    Unfortunately, asking questions is a sign of weakness on my floor...I've posted abut it before so I won't go on ad naseum, but I work with nurses who have thrown me under the bus, so I have to be...

  12. Peers are "concerned" about me... This is really long.

    jam2007 replied to DearRN's topic in First Year After Licensure

    Before you took an early leave did you explain that it was too much walking for you? I work on a floor where the lay out is awful; when some of the nurses got pregnant the charge nurse made sure they...

  13. need help in developing critical thinking

    jam2007 posted a topic in General Nursing

    I need to buff up my critical thinking skills..I know some of this will come with time, as I am exposed to different diagnoses, labs, etc. I know it isn't one of my strong areas and I was wondering...

  14. On verge of nervous breakdown

    jam2007 replied to abbaking's topic in General Nursing

    Isn't it ironic, don't you think... that we are in a "healing" profession that takes it's toll on our bodies and psyche? There should be some sort of nursing support group with weekly meetings for our...

  15. need help in developing critical thinking

    jam2007 replied to jam2007's topic in General Nursing

    Interesting observation. I have to agree..during rounds I have heard some of the nurses spouting verbatim what they were told in hand-off like it was their original thought. I am not the most...

  16. need help in developing critical thinking

    jam2007 replied to jam2007's topic in General Nursing

    I am a new RN on a busy medical/tele floor where I see many different diagnosis. It is a high acuity floor and not alot of "walkie-talkies" I am trying to fit the pieces together...for example, if...

  17. Any tools/suggestions to help with my critical thinking

    jam2007 posted a topic in First Year After Licensure

    I am having a hard time pulling everything together. I work on a medical/telemetry floor and I find that when I get report in the morning or give report during rounds, I am not doing as well as I...

  18. Do you round on your patients every one hour?

    jam2007 replied to LilyBlue's topic in General Nursing

    I work on a busy tele floor with 4-5 high acuity patients. It comes down to Press Ganey and pt satisfaction. It is an unrealistic expectation and I would love to see management (when was the last time...

  19. Rehab. nurses please. Need help.

    jam2007 replied to Mikerinhouston's topic in General Nursing

    I worked on a cardiopulmonary floor at a rehab with tele patients s/p CABG, cardiac caths, etc. Maybe it depends on the

  20. I have no other choice!!!

    jam2007 replied to nanciepaul's topic in Massachusetts Nursing

    I would suggest calling HR (or the nurse recruiter) directly and asking your pertinent questions. If you have to leave a message, be sure to add "I know you are very busy, so if I don't hear from you...

  21. Any projections for nursing employment in the current and near future economy?

    jam2007 replied to Saifudin's topic in General Nursing

    I have to agree. The economy is going to take some time to rebound and I believe that the nursing shortage was based on projections regarding age of retirement and the average length of employment...

  22. Any projections for nursing employment in the current and near future economy?

    jam2007 replied to Saifudin's topic in General Nursing

    I'm also in MA and work outside of Boston. No layoffs, but staff has been mandated to stay home, including managment. For those of us that work 12 hours, if the census is low at change of shift, it's...

  23. job change was a HUGE mistake... now what? Nurse Manager advice?

    jam2007 replied to nursebreelee's topic in First Year After Licensure

    Just my 2 cents as you didn't mention the interviewing process at your new job..but what I've learned (after landing not so hot jobs) is to bring a list of questions with me to my interview. You...

  24. MD rounds w/nurses..what should I mention

    jam2007 posted a topic in General Nursing

    I work on a medical/tele floor and we meet w/the Hospitalists and caseworkers in the morning to discuss patients. I am new at this and some of the issues I do mention are: any changes overnight,...

  25. Anonymous Complaints - Have you ever received one?

    jam2007 replied to rolland542's topic in General Nursing

    I agree... I had one pt come in w/ a DX of alcoholic hepatitis and she said that she hadn't eaten for 4 days b/c she had been vomiting. So of course, before I can even get my assessment done, she's...